ST ELIZABETH MEDICAL CENTER, INC (NPI# 1740220797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740220797 |
| Entity Type | Organization |
| Organization Name | ST ELIZABETH MEDICAL CENTER, INC |
| Other Organization Name | ST ELIZABETH GER PSYCH |
| Practice Address |
1 Medical Village Dr Edgewood KY 41017 |
| Mailing Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Practice Telephone | 8593015900 |
| Practice Fax Number | 8596551773 |
| Mailing Telephone | 8596551889 |
| Mailing Fax Number | 8595785980 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | LORI RITCHEY-BALDWIN (CFO (INTERIM)) |
| Authorized Official Telephone | 8596550109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 100500 | KY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 92000074 | 05 |
| Other Name | Type Code |
|---|---|
| St Elizabeth GER Psych | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695322 | St Elizabeth Medical Center, Inc | Hospice Care, Community Based | 483 South Loop Rd, Edgewood, KY 41017 | 2006-07-21 |
| 1114974813 | St Elizabeth Medical Center, Inc | General Acute Care Hospital | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2006-05-28 |
| 1932187937 | St Elizabeth Medical Center, Inc | Internal Medicine | 1360 Dolwick Drive, Erlanger, KY 41018 | 2006-01-09 |
| 1174780647 | St Elizabeth Medical Center, Inc | Clinical Medical Laboratory | 238 Barnes Rd, Williamstown, KY 41097 | 2008-05-21 |
| 1811154388 | St Elizabeth Medical Center, Inc | Clinical Medical Laboratory | 1 Medical Village Dr, Edgewood, KY 41017 | 2008-05-21 |
| 1902842073 | St Elizabeth Medical Center, Inc | Skilled Nursing Facility | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2006-06-20 |
| 1093750911 | St Elizabeth Medical Center, Inc | Skilled Nursing Facility | 4900 Houston Rd, Florence, KY 41042-4824 | 2006-06-17 |
| 1154365062 | St Elizabeth Medical Center, Inc | Clinic/Center | 4900 Houston Rd, Florence, KY 41042 | 2006-06-15 |
| 1740221795 | St Elizabeth Medical Center, Inc | Clinic/Center | 85 N Grand Ave, Fort Thomas, KY 41075 | 2006-06-09 |
| 1467492421 | St Elizabeth Medical Center, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2006-06-07 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659810810 | Swis Purchase, LLC | Psychiatric Unit | 473 Old Symsonia Rd, Benton, KY 42025-5044 | 2017-02-20 |
| 1366629545 | Adair County Hospital District | Psychiatric Unit | 901 Westlake Drive, Columbia, KY 42728-1123 | 2008-01-30 |
| 1013525583 | Baptist Healthcare System Inc | Psychiatric Unit | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1477189876 | Uofl Health-louisville Inc | Psychiatric Unit | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2020-03-17 |
| 1063074581 | Arh Tug Valley Health Services, Inc. | Psychiatric Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-04 |
| 1265091003 | Pineville Community Health Center Inc | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1720578214 | Pineville Medical Center, LLC | Psychiatric Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1487184453 | Jennie Stuart Medical Center | Psychiatric Unit | 320 W 18th St, Hopkinsville, KY 42240-1965 | 2017-06-13 |
| 1215390513 | Spring View Hospital LLC | Psychiatric Unit | 320 N Loretto Rd, Lebanon, KY 40033-1300 | 2016-04-04 |
| 1558729228 | T J Health Columbia Inc | Psychiatric Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.